Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1154399384

Unknown Individual is a healthcare provider. based in Gig harbor, Washington. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN00108309 AP3000532 (WA). The NPI Number for Unknown Individual is 1154399384

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154399384
Phone
(253) 265-2686
Address
4015 74TH AVENUE CT NW
Deactivation Date
24 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4015 74TH AVENUE CT NW

    GIG HARBOR, WA 983356529

    Phone: (253) 265-2686

    Type: Mailing

  • Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States

    BREMERTON, WA 983121894

    Phone: (360) 475-4755

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98335)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1154399384; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Gig Harbor, Washington because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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